Joint and Intermuscular Injections


Ligaments are the “rubber bands” within the structure of joints that hold the joints together.

Due to their limited blood supply, when injured, ligaments are often slow to heal. They also tend to heal incompletely. Worse yet, because ligaments contain large numbers of nerve endings, you are likely to experience more pronounced pain in an injured ligament.

At our office, specialized injections into the joint can be used to improve blood and thus supply nutrients to the damaged area. This promotes faster and more complete healing within the joint itself.

What to Expect With Joint Injections

A joint injection usually takes around 20 minutes followed by a brief period of recovery. In many cases, the doctor will be using x-rays to ensure accuracy and effectiveness. Once the injection is released, the anesthetic should provide immediate relief. However, this effect is temporary, and you will likely experience soreness and swelling later that day. As the steroid starts to do its working, inflammation will lessen and you should feel the results of the treatment within a few days.

Hyaluronic Acid injection is used to treat ankle, knee, hip, shoulder and elbow pain caused by osteoarthritis (OA) in patients who have already been treated with pain relievers (e.g., acetaminophen) and other treatments that did not work well.
Hyaluronic acid is similar to a substance that occurs naturally in the joints. It works by acting like a lubricant and shock absorber in the joints and helps the joints to work properly.
This medicine is to be administered only by or under the immediate supervision of your doctor.

Corticosteroids for suppression of inflammation

Injection techniques are helpful for diagnosis and therapy in a wide variety of musculoskeletal conditions. Diagnostic indications include the aspiration of fluid for analysis and the assessment of pain relief and increased range of motion as a diagnostic tool. Therapeutic indications include the delivery of local anesthetics for pain relief and the delivery of corticosteroids for suppression of inflammation.

Injection of joints, bursae, tendon sheaths, and soft tissues of the human body is a useful diagnostic and therapeutic skill for family physicians. With training, physicians can incorporate joint and soft tissue injection into daily practice, yielding many benefits. For example, a lidocaine (Xylocaine) injection into the subacromial space can help in the diagnosis of shoulder impingement syndromes, and the injection of corticosteroids into the subacromial space can be a useful therapeutic technique for subacromial impingement syndromes and rotator cuff tendinopathies. Evidence-based reviews of joint and soft tissue injection procedures have found few studies that support or refute the efficacy of common joint interventions in medical practice. However, substantial practice-based experience supports the effectiveness of joint and soft tissue injection for many common problems.

These injections are most useful in instances of joint or tissue injury and inflammation. History of pain, local and referred, will provide important clues to the underlying pathology. Physical examination is extremely helpful in ascertaining the diagnosis. Knowledge of the anatomy of the area to be injected is essential. Intratendinous injection should be avoided because of the likelihood of weakening the tendon. Corticosteroid injections also should be avoided in cases of Achilles or patella tendinopathies.


Trigger point injection therapy is a treatment used to relieve the pain and stiffness caused by small tense points in your muscle structure. These are called “trigger points” and are often sensitive to the touch.

Trigger points are like small knots in your muscles that keep an area of the body tense and unable to relax. This prolonged stress can cause injury and damage. Because of the tension, these areas are also slow to heal.

Trigger point injection therapy targets these tense knots and relaxes them with a small injection. Most patients report immediate relief.


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